Official District of Columbia Medicaid FFS for CPT 90846 (Family psychotherapy without the patient, 50 minutes) is $90.65 (facility $84.35) from DHCF DCPFS26001, effective 2026-01-01, verified 2026-09-10. CY 2026 Medicare non-facility PFS is $113.31. Source: CMS RVU26D, October 2026 release and the official District of Columbia fee schedule. Not an MCO or commercial rate.
Last updated
CMS locality “DC + MD/VA SUBURBS” includes listed Maryland and Virginia suburban counties. Maryland and Virginia also have their own localities.
Last verified 2026-09-10. Medicare effective 2026-10-01. District of Columbia Medicaid FFS effective 2026-01-01 (DHCF DCPFS26001).
| Locality | Medicare non-facility | Medicare facility | Medicaid FFS | Commercial | Source |
|---|---|---|---|---|---|
DC + MD/VA Suburbs | $113.31 | $105.44 | $90.65 | Coming soon | CMS MPFS |
Compare an offered CPT 90846 rate in District of Columbia on Contract Checker v1.3 (code and state prefilled). When UnitedHealthcare publishes rates for this code and state, the tool also compares your offer to the UHC median and the middle 80% of UHC rates, alongside Medicare and Medicaid FFS. Aetna and Anthem stay Coming soon.
Questions
What is the District of Columbia Medicaid FFS amount for CPT 90846?
Official District of Columbia Medicaid FFS is $90.65 (facility $84.35) from DHCF DCPFS26001, effective 2026-01-01, last verified 2026-09-10.
What is the 2026 Medicare rate for CPT 90846 in District of Columbia?
For CPT 90846 (Family psychotherapy without the patient, 50 minutes) in District of Columbia, the CY 2026 Medicare non-facility Physician Fee Schedule amount is $113.31 across 1 CMS locality. Source: CMS RVU26D, October 2026 release, conversion factor 33.4009, effective 2026-10-01.
How does District of Columbia Medicaid FFS compare to Medicare for CPT 90846?
District of Columbia Medicaid FFS is $90.65; Medicare non-facility PFS is $113.31. These are different programs. The Medicaid cell is official fee-for-service only, not an MCO or commercial contracted rate. Source: https://dhcf.dc.gov/publication/transmittal-26-10-notice-pricing-updates-medicaid-ffs-professional-fee-schedule.
Where is the official District of Columbia Medicaid FFS source for CPT 90846?
District of Columbia Department of Health Care Finance: DCPFS26001 2026 Professional Fee Update (workbook 2026-01-29; Transmittal 26-10 dated 2026-03-31). Source page: https://dhcf.dc.gov/publication/transmittal-26-10-notice-pricing-updates-medicaid-ffs-professional-fee-schedule. File: https://dhcf.dc.gov/sites/default/files/dc/sites/dhcf/publication/attachments/DCPFS26001%202026%20Professional%20Fee%20Update%202026-01-29.xlsx. Last verified 2026-09-10.
Is this District of Columbia CPT 90846 amount a Medicaid MCO or commercial contracted rate?
The Medicaid FFS cell is the official DHCF DCPFS26001 amount $90.65. That is fee-for-service, not an MCO rate. Commercial cells remain Coming soon until a parsed in-network file is loaded.